1. Home
  2. Directory
  3. Utah
  4. Green River
  5. Pharmacy
  6. NPI Profile

GREEN RIVER MEDICAL CENTER, INC.
NPI 1689134868
Pharmacy - Community/Retail Pharmacy in Green River, UT

Active since March 22, 2019CLIA 46D0717470 · Waiver
585 WEST MAIN STREET, GREEN RIVER, UT 84525(435) 564-3434(435) 564-3214 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 22, 2019 (2 updates tracked since 2019).

About Green River Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN RIVER MEDICAL CENTER, INC. (NPI 1689134868), doing business as Green River Medical Center Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Green River, Utah and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Paula Jean Dunham, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689134868
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN RIVER MEDICAL CENTER, INC.
Location Address585 WEST MAIN STREETGreen River, UT 84525
Mailing AddressPo Box 417Green River, UT 84525-0417 · (435) 564-3434 · Fax (435) 564-3214
Phone(435) 564-3434
Fax(435) 564-3214
Organization SubpartYes
Authorized OfficialPaula Jean DunhamExecutive Director · (435) 564-0213
Enumeration DateMarch 22, 2019
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1689134868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
585 WEST MAIN STREET, Green River, UT 84525
Open in Google Maps ↗

Other Names 1

Doing Business AsGreen River Medical Center Pharmacy

Other Identifiers 3

Other11065988-1703UT · Utah Dopl Pharmacy Class A License
Other11065988-8913UT · Utah Dopl Dispensing Controlled Substance License
Medicaid261QF0400XUT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D0717470

Green River Medical Center · Green River, UT
Active · expires Oct 2, 2027
CLIA Number46D0717470
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorBryce K. Warr
Laboratory Phone(435) 564-3434
Laboratory LocationGreen River Medical Center585 W Main St, Green River, UT 84525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIM THYRILL MCFARLANE MPAS, PA-C
Physician Assistant (Medical)
585 WEST MAIN STREET
GREEN RIVER, UT 84525
Emery County (435) 564-3434
MRS. SHANNON TAYLOR THURSTON PA-C
Physician Assistant (Medical)
585 WEST MAIN STREET
GREEN RIVER, UT 84525
Emery County (435) 564-3434
GREEN RIVER MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
585 WEST MAIN STREET
GREEN RIVER, UT 84525
Emery County (435) 888-0422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green River Medical Center, Inc.'s NPI number?

The NPI number for Green River Medical Center, Inc. is 1689134868. It was assigned to this organization in the NPPES registry on March 22, 2019. The provider is doing business as Green River Medical Center Pharmacy.

Where is Green River Medical Center, Inc. located?

Green River Medical Center, Inc. is located at 585 West Main Street, Green River, UT 84525. The listed phone number is (435) 564-3434.

What is Green River Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Green River Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0717470) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Green River Medical Center, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Green River Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Green River Medical Center, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.